Melinda Shaver, Psy.D.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

103TC0700X Issued in OK

Legal business name

MELINDA SHAVER, PSY.D.

Practice address

315 N College Ave
Tahlequah, OK 74464-2703

Phone

(918) 457-8100

NPI assigned

Jul 1, 2011

Last updated

Jul 1, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Melinda Anne Shaver, PSY.D.NPI 1427061209

Title

Psychologist

Phone

(918) 457-8100

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melinda Anne Shaver, PSY.D.

  • Clinical Neuropsychologist
  • Independence, KS
  • NPI 1427061209
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1417244179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16460 N WOODLAND HILLS LN",
            "city": "HULBERT",
            "state": "OK",
            "postal_code": "744412247",
            "telephone_number": "918-457-8100",
            "fax_number": "918-453-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N COLLEGE AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744642703",
            "telephone_number": "918-457-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELINDA SHAVER, PSY.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "SHAVER",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "918-457-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "103TC0700X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200092020A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1427061209",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Sue McMurray, ME
• Med-Trans Corporation
• Medic-Aire of Tahlequah, Inc.
• Alison Medina, PA-C
• Medwise LLC
• Elizabeth A Melles, PHD
• Megan Melott Moss, DO
• Madison Danielle Mendoza
• Callie Merriott, DO
• Inga Merry, PHARMD

• Community/Behavioral Health Agency in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.